Individual
AMANDA LYNN BOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-6283
(847) 316-2758
Mailing address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-6283
(847) 316-2758
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242.002172
IL
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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